Individual
DR. BERNARD J BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1030A BURLEW BLVD, OWENSBORO, KY 42303-1735
(270) 926-2273
Mailing address
PO BOX 1919, OWENSBORO, KY 42302-1919
(270) 926-2273
(270) 684-3212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21960
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
21960
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045762
ANTHEM BC/BS
KY
01
—
110161621
RAILROAD MEDICARE
—
01
—
200056030
MEDICAID
IN
05
—
64219603
—
KY
Enumeration date
06/30/2006
Last updated
03/24/2020
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